Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Mississippi for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Mississippi only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Mississippi (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Susan Tolley (NPI 1811942170)

Field	Value
Entity Type	Individual
Organization	Susan Tolley
Address	7601 Southcrest Pkwy
City	Southaven
State	MS
ZIP	38671
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicare	$33.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	220	$80	$17K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	130	$110	$14K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	40	$40	$1.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	20	$30	$450
12002	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.6 to 7.5 cm in…	10	$40	$400

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Susan Tolley — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	256	550	120	$130	$23.3K
99284	41	620	80	$90	$8.3K
99283	136	360	30	$50	$2.2K
99282	31	70	20	$30	$900
12002	2	10	10	$40	$460

Nearby Providers

Other providers in the same ZIP code as Susan Tolley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital-desoto, Inc,	MS	General Acute Care Hospital	$0	$41.6M
Sidhu Pediatrics, LLC	MS	Pediatrics Physician	$0	$10.8M
Desoto Pediatric Extended Care LLC	MS	Pediatric Skilled Nursing Facility	$0	$8.2M
Spectra Laboratories Inc	MS	Clinical Medical Laboratory	$1.8M	$6.2M
Desoto Family Counseling Center PLLC	MS	Community/Behavioral Health Agency	$0	$5.6M
Simple Strokestherapy Consultants, PA	MS	Physical Therapist	$0	$5.1M
John Acosta	MS	Pediatric Dentistry	$0	$4.7M
Rcg Southaven, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Roberts & Garza Orthodontics Services PLLC	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.4M
Genesis Healthcare LLC	MS	Home Health Agency	$0	$2.9M

Susan Tolley — Billing Profile & Reimbursement Data

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Susan Tolley — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References